Leptospirosis complicated by severe aortic stenosis

Anaesth Intensive Care. 2000 Aug;28(4):434-7. doi: 10.1177/0310057X0002800414.

Abstract

A previously well 62-year-old male from North Queensland presented with leptospirosis featuring fever, renal failure, hepatitis and pulmonary haemorrhage. Management was greatly complicated by severe and previously unrecognized aortic stenosis with a peak valve gradient of 125 mmHg. A successful outcome followed careful haemodynamic management and treatment of the infective illness with subsequent valve replacement.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve
  • Aortic Valve Stenosis / complications*
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery
  • Diagnosis, Differential
  • Fever / complications
  • Heart Valve Prosthesis Implantation
  • Humans
  • Leptospirosis / complications*
  • Leptospirosis / diagnosis
  • Leptospirosis / drug therapy
  • Leptospirosis / physiopathology
  • Male
  • Middle Aged
  • Penicillin G / therapeutic use
  • Penicillins / therapeutic use
  • Queensland
  • Renal Insufficiency / complications
  • Ultrasonography

Substances

  • Penicillins
  • Penicillin G